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J Gastroenterol Dig Dis 2017 | Volume 2, Issue 3
World Gastroenterological &
Gastroenterology and Endoscopy
October 30-31, 2017 | Toronto, Canada
World Congress on
Blood thinners and gastrointestinal endoscopies
Monjur Ahmed
Thomas Jefferson University, USA
As the number of diagnostic and therapeutic gastro-
intestinal endoscopies is increasing, and there is an increase
in number of patients taking blood thinners, we are seeing
more and more patients on blood thinners. Gastrointestinal
tract is the most common site of significant bleeding in patients
on blood thinners. Thousands of people per day and millions
of people per year are having gastrointestinal endoscopies
in the United States and throughout the world. The various
gastrointestinal endoscopic procedures performed are
esophagogastroduodenoscopy, colonoscopy, endoscopic
retrograde cholangiopancreaticography (ERCP), flexible
sigmoidoscopy, pouch/stoma endoscopy, entersocopy (push,
spiral, balloon assisted, i.e., single balloon or double balloon),
endoscopic ultrasound (EUS-mediastinal, pancreatic, rectal),
capsule endoscopy and capsule colonoscopy. All these
procedures have diagnostic and therapeutic potentials except
capsule endoscopy and capsule colonoscopy in which neither
any diagnostic biopsy nor any intervention can be done.
Blood thinners may potentiate the risk of bleeding during or
after performing these procedures. In the last few years, new
blood thinners have been introduced in the market. As safety
is the most important concern before performing a procedure,
endoscopists should be very familiar with the different blood
thinners available in the market.
Speaker Biography
Monjur Ahmed has graduated from Dhaka Medical College, Dhaka, Bangladesh in1983.
Then went to United Kingdom for receiving post-graduate training and certification
in Internal Medicine. After becoming the Member of Royal College of Physicians
of the United Kingdom, he came to the United States. He did residency in Internal
Medicine and fellowship in Gastroenterology at Catholic Medical Center of Brooklyn
and Queens affiliated with Albert Einstein College of Medicine, New York. He also did
gastrointestinal motility fellowship at Temple University Hospital, Philadelphia. He
is currently working as Clinical Associate Professor of Medicine at Thomas Jefferson
University. Clinical interests include blood thinners during endoscopy, eosinophilic
esophagitis, gastroesophageal reflux disese and celiac disease.
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